Korean Journal of Pediatrics 2007;50(7):649-654.
Published online July 15, 2007.
Clinical characteristics of deep neck abscess in children; 15 year experience in a university hospital
Min-Ji Goo1, Jeong-Suk Yeom1, Eo-Jin Kim1, Jung-Je Park2, Ji-Hyun Seo1, Eun-Sil Park1, Jae-Young Lim1, Chan-Hoo Park1, Hyang-Ok Woo1, Hee-Shang Youn1
1Department of Pediatrics, Gyeongsang National University College of Medicine, Jinju, Korea
2Department of Otolaryngology, Gyeongsang National University College of Medicine, Jinju, Korea
소아 심경부농양의 임상적 고찰 : 일개 대학병원에서 15년간의 경험
구민지1, 염정숙1, 김어진1, 박정제2, 서지현1, 박은실1, 임재영1, 박찬후1, 우향옥1, 윤희상1
1경상대학교 의과대학 소아과학교실
2경상대학교 의과대학 이비인후과학교실
Correspondence: 
Ji-Hyun Seo, Email: seozee@gnu.ac.kr
Abstract
Purpose
: The objective of this study was to clarify the presentation, associated preceding illness, pathologic organisms, treatment and outcome of deep neck abscess in children according to age and location.
Methods
: We retrospectively reviewed the in-patient charts of children treated at our hospital for deep neck abscess. Thirty-five such patients were identified as having been treated from March 1990 to December 2005.
Results
: A total of 35 were enrolled in our study: 25 boys and 10 girls. Their ages ranged from 11 months to 15 years. Presenting symptoms included mass, fever, irritability, trismus and dysphagia. The most commonly known associated preceding illness was viral upper respiratory infection (53%). The most common site of infection was the submandibular space (37%). Bacteria was identified in 16 patients. The most common pathogen was Staphylococcus aureus. Thirteen (37%) children recovered from the infection with conservative treatment and twenty-four (68%) children received surgical drainage. The duration of hospitalization was longer in the group who underwent surgery than in the group who were managed with conservative treatment. No complication occurred.
Conclusion
: Unexplained torticollis, trismus or irritability in children were suggestive of deep neck abscess. Our results demonstrate that deep neck abscesses in children is respond well to conservative treatment if diagnosed early.
Key Words: Abscess, Neck, Pediatrics


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